2. symptoms and clinical signs of urolithiasis
3. Diagnosis and treatment of urolithiasis
4. disease prevention
Urolithiasis (urolithiasis synonym) - metabolic disease, which manifests itself formation of stones (stones) in the urinary tract organs.
Causes of stone formation is not fully known, but it is known that the predisposition to urolithiasis occurs when even a slight metabolic disorders.Such disruption results in accumulation in the urinary system organs insoluble salts which subsequently form a stone.In most cases (75% of cases) there are stones oxalates, phosphates less, urate and others.
In addition, there are factors that increase the likelihood of symptoms of urolithiasis.Among them:
common symptom of urolithiasis - pain that changes its place of localization depending on the location of the stone.In the case of immobility of stone it is aching in nature.But when pain becomes acute cramping in nature, it is said that the stone changes its location, and frequent cases after such attacks entirely calculus comes from the body.
Localization of pain when urolithiasis:
in addition, severe, unbearable, cramping pain (renal colic) occurs in the case of overlapping stone ureteral lumen.The attack of renal colic subsides after a stone out of the ureter.
Symptoms of kidney stones with renal colic:
main clinical sign of urolithiasis - blood in the urine, which often occurs after physical exertion or renal colic attack.
When the stones of the bladder and the lower part of the ureter person concerned:
When diagnosing urolithiasis in 70-80% of patients find pus in the urine, which indicates the presence of infection.
Older people have symptoms of kidney stones are less pronounced than in the 30-55-year-olds.Typically, this is due to a low tone of the urinary tract.
very hard to carry the disease, pregnant women, signs of urolithiasis they appear more pronounced and frequent.In addition, the situation is exacerbated by the accession often urinary tract infections, which often leads to spontaneous abortion.
rate of development of the disease in each individual case, one person stones over the years can not express themselves, and the other six months "grow" up to impressive sizes and greatly overshadow his life.
diagnosis of urolithiasis by using:
increased salt concentration, the presence of fresh red blood cells, high levels of white blood cells in urine - is one of the clinical signs of kidney stones, which is taken into consideration when making a diagnosis your doctor.
Complete blood count little informative in the diagnosis of urolithiasis.Only if a fit of intestinal colic in the blood may increase the level of white blood cells, erythrocyte sedimentation rate, a decrease in hemoglobin.
ultrasound of the urinary system - the easiest way to diagnose urolithiasis.It can detect kidney stones, bladder and ureter in the upper part.To detect concretions need to undergo X-ray examination in the lower part of the ureter, which is also the basis in choosing a method of treatment of urolithiasis.
treatment of the disease can begin after diagnosis, which, depending on the complexity of each case is carried out:
1. surgical or endoscopic intervention
2. The method of contact or non-contact lithotripsy
3. medical methods
main goal in the treatment of urolithiasisdisease - removal of stones from the urinary system.For small stones (eg, urate) applies medical treatment, the essence of which - taking medication to dissolve the stones.
Herbal preparations (such kanefron, tsiston) are used for both treatment and prevention of urolithiasis.
Kidney stones (up to 2.5 cm) and ureter (1.5 cm) is divided by the shock-wave lithotripsy.
Prompt surgical treatment of urolithiasis applies in the event of large stones in the kidney.If the stone can not move from the ureter into the bladder, it is possible to do without surgery, it can be removed endoscopically.
In addition, at any stage of treatment of urolithiasis in order to facilitate the patient's condition (pain relief) used non-narcotic (and, if necessary, and narcotic) analgesics (ketanov, no-spa, baralgin, deksalgin and others).
disease best prevention of urolithiasis - proper diet, which is selected for each patient individually, taking into account all the characteristics of the disease, in particular of the chemical composition of the extracted stone.If urate should exclude meat and bean products, with oxalates - dairy products, chocolate, cocoa, green vegetables, strawberries, currants and other foods with a high content of calcium, with phosphate rocks limit fish and dairy products.
patients with urolithiasis, as well as people with a predisposition to the disease should consume at least 2 liters.of fluid per day, and when the first symptoms of urolithiasis immediately go to the doctor-urologist.
As a preventive measure to take good decoctions of herbs with diuretic action.
Prevention of urolithiasis also consists in preventing the recurrence of stone formation, which occur in every third patient.Therefore it is very important to carry out control tests (complete blood count and urine tests, ultrasound, X-rays).
This article is available exclusively in the educational purposes and is not research material or professional medical advice.
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